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What is  the Global GAG Rule?

The Mexico City Policy, known as the Global Gag Rule (GGR), denies U.S. funding to organisations like IPPF if they use money from other donors to provide abortion services, counselling or referrals—even if abortion is legal in a country. 

The rule blocks critical funding for health services like contraception, maternal health, and HIV/AIDS prevention and treatment for any organisation that refuses to sign up to it. 

When it has been enacted by previous Republican Presidents, evidence has shown that the rule has not reduced the number of abortions; rather, by eliminating access to contraception, it has led to more unintended pregnancies and more unsafe abortions.     

How does it affect IPPF?

IPPF's services apply an integrated approach. This means that any funding the federation loses could have a knock-on effect on array of services.  

For example, people who are getting voluntary family planning information, education and services may also need other types of healthcare like HIV testing and treatment, cervical cancer screening, infertility support or delivering maternal health services in humanitarian settings. Our integrated approach also covers work on sexual and gender based violence like rape, female genital mutilation and early and forced marriage.

What will happen

As a global sexual and reproductive health service delivery organization, IPPF has been partnering with USAID, the largest global voluntary family planning donor for decades to increase access to reproductive health services.  

Currently, millions of men and women in the poorest and hardest to reach communities are accessing sexual and reproductive health services due to USAID support. Should the GGR be reinstated, many of these people will no longer have access to essential reproductive health services.

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Uganda: Using innovative methods to expand contraceptive choice

Much of IPPF’s work in Uganda is focused around providing family planning services in a country that has one of the highest fertility rates in the world. 

Sayana Press is a three-month, progestin-only, injectable contraceptive that combines the drug and needle in a single unit. It is suitable for community-based distribution and potentially, self-injection, improvinng access to safe and effective contraceptives.

Without USAID funding we would not have been able to trial this ground breaking new family planning delivery method and would not be able to carry on rolling-out the project. This means that thousands of women would potentially lose out on contraception.

Health professional adminstering Sayana Press to client
 

Nepal: bringing contraception to the most remote areas

One of IPPF’s main projects in Nepal focuses on increasing voluntary use of family planning services by improving accessibility and the type of family planning options which are on offer. Unmet need for family planning in Nepal remains high - 27% of married women reported unmet need in 2011.

Since the project started in 2015 it has provided over 40,000 family planning services to men and women in hard to reach places across the country. It has also has trained health care workers in five different family planning methods in order to be able to provide a broader choice in family planning methods.

If the GGR is introduced Nepal stands to lose family planning support to 601 ministry of health sites that would otherwise not be served adequately by local services.

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Health professional talking with a client
 

Kenya: increasing services and information for young people

Health professional talking with a client

In Kenya IPPF we're running a project to increase access young people's voluntary family planning services (including those living with HIV and AIDS). The project also aims to increase access to high quality community-based information on voluntary family planning for young girls living with HIV and AIDS; and to reduce high risk sexual behaviour among young people by implementing a social behaviour change programme.

Without funding Family Health Options Kenya (FHOK) would be unable to support pilot projects like this which have had over 5,000 consultations and services for young people in Homa Bay.

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Why we wouldn’t sign the policy? 

IPPF believes reproductive health is a right and everyone should be able to make choices about their well-being and will not support policies which actively restrict or take away an individual’s right to choose.

The Global Gag Rule not only undermines but violates these rights and therefore, IPPF cannot and will not support it.